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Bali Medika Jurnal
Published by Sekolah Tinggi Ilmu Kesehatan Wira Medika Bali
ISSN : 26157047     EISSN : 26146517     DOI : https://doi.org/10.36376/bmj
Core Subject : Health,
Health Professions Nursing Public Health
BMJ bertujuan memprakarsai dan merangsang penelitian berdampak tinggi dan inovatif yang relevan bagi akademisi dan praktisi di industri kesehatan. Audiensi publikasi ini utamanya terdiri dari akademisi, mahasiswa pascasarjana, praktisi dan semua yang tertarik pada bidang penelitian kesehatan. Jurnal ini menerima artikel dari para praktisi dan akademisi serta penelitian kualitatif dan kuantitatif. Setiap makalah akan dinilai berdasarkan standar nasional, orisinalitas / inovasi kertas, kontribusi terhadap pengetahuan, relevansinya dengan subjek dan kualitas penyajiannya. Makalah-makalah tersebut akan direview oleh mitra bestari yang kredibel dan dapat dipercaya.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 225 Documents
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Persepsi dan perilaku ibu hamil dalam melakukan antenatal care (anc) pada masa pandemi covid-19 di kabupaten tabanan : Perception and behavior of pregnant women in antenatal care (anc) visits during the covid-19 pandemic in tabanan regency Ni Wayan Sutarmi; DA Mirah Ardrini; Duarsa, Dyah Pradnyaparamita; Kurniati, Desak Putu Yuli
Bali Medika Jurnal Vol 8 No 4 (2021): Bali Medika Jurnal Vol 8 No 4 Desember 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i4.217

Abstract

In Indonesia, the number of Covid-19 cases in pregnant women is 3.9% and the prevalence of morbidity and mortality of pregnant women with Covid-19 is still unknown. However, several studies have shown that pregnant women may be very susceptible to Covid-19 infection so that it does little to cause fear and anxiety in pregnant women. Perceptions and behaviors of pregnant women need to be explored to see how health behavior is in making decisions for ANC visits. This study uses a qualitative method with an exploratory approach. Primary data were obtained through in-depth interviews with 12 pregnant women. The informants were pregnant women in Tabanan Regency who experienced an increase in the number of ANC visits at the Puskesmas. Data collection was carried out during January-February 2021. The data were analyzed thematically and presented using a narrative approach. Knowledge of pregnant women about the benefits of ANC and how to spread Covid-19 plays a very important role in the attitude of pregnant women in carrying out ANC. Adaptations in the application of health protocols continue to be carried out, this is because they feel vulnerable to being exposed to Covid-19. The feeling of fear and anxiety they felt did not stop them from doing ANC during the pandemic. The perception of severity is felt because of the experience of previous pregnancies, but the support and motivation makes pregnant women feel more able to avoid feelings of anxiety. ANC behavior of pregnant women can be seen in the selection of ANC locations that are felt to be safe and not crowded, such as Puskesmas and midwives. This study reveals that the anxiety of pregnant women during the Covid-10 pandemic can lead to levels of depression and anxiety if left untreated. There is a need for psychosocial support and information through online media for pregnant women during the Covid-19 pandemic. Keywords: perception, pregnant women, ANC, Covid-19
Faktor-faktor yang mempengaruhi penggunaan alat pelindung diri (apd) dalam pelayanan kebidanan di praktek mandiri bidan (pmb) pada masa pandemi covid-19 : Factors influencing the use of personal protective equipment (ppe) in midwifery services, in midwife independent practice (pmb) during the covid-19 pandemic Adnyani, Sukma
Bali Medika Jurnal Vol 8 No 4 (2021): Bali Medika Jurnal Vol 8 No 4 Desember 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i4.222

Abstract

Midwives are part of the frontline health workers who are in direct contact with clients and have a risk of being exposed to Covid-19. To protect oneself during direct contact with clients, it is mandatory to adhere to infection prevention and control practices, which include administrative, environmental and engineering controls as well as proper use of Personal Protective Equipment (PPE). The purpose of this study was to analyze the factors that influence the behavior of midwives in the use of appropriate PPE in midwifery services during the Covid-19 pandemic and the adaptation of new habits. The design of this study was cross-sectional analytic. The subject of the study was the Pomegranate Midwife in Denpasar City who had an Independent Midwife Practice who continued to provide services during the Covid-19 pandemic with a sample of 63 people according to the inclusion criteria. The results showed that there was a significant relationship between age (p=0.012), work experience (p= 0.011), attitude (p= 0.01) and knowledge (p= 0.014) with behavior in the use of Personal Protective Equipment (PPE). appropriate level in providing midwifery services during the Covid-19 pandemic. So that to maintain good service quality, midwives in providing services continue to apply health protocols, maintain service quality by maintaining knowledge, and use appropriate levels in midwifery services.
Pengaruh perbedaan sistem pembagian kerja terhadap kelelahan penata anestesi di ruang operasi di indonesia : The effects of differences in the divison of labor on fatigue of nurse anesthetists in operating rooms in indonesia yusniawati, Yustina Ni Putu; Lewar, Emanuel Ileatan; Putra, I Gde Agus Shuarsedana
Bali Medika Jurnal Vol 8 No 4 (2021): Bali Medika Jurnal Vol 8 No 4 Desember 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i4.223

Abstract

The division of labor in this study refers to the working hour arrangement made by the hospital management for 24-hour optimal service. Nurses in the operating room as health workers need the division of labor. It considers that not all planned or scheduled surgery can be carried out at a predetermined time since delays, acceleration, or cancellation can occur. Nurses in the operating room must be ready for 24 hours for surgeries. However, an intensive division of labor with long working hours is an essential factor affecting the fatigue levels of nurse anesthetists in the operating room. Fatigue decreases alertness, concentration, judgment, and mood. To determine the effect of different divisions of labor over fatigue levels of nurse anesthetists in the operating room in Indonesia. This study used a quantitative research design with an analytical observational design and a cross-sectional approach. The sampling technique was purposive sampling with a sample of 228 nurse anesthetists in the operating room from hospitals in various regions throughout Indonesia. Data was collected with OFER and ENSS questionnaires translated into Indonesian and tested previously for validity and reliability. Data were analyzed using SPSS Version 20, with univariate analysis. It indicates that the respondents were primarily male, aged 22 to 68 years old, married, had an associate’s degree, with >3 years tenure, the number of operating rooms were between 1 to 26 rooms, the number of nurse anesthetists ranges from 1 to 43 people, and the number of surgery ranges from 1 to 50 per day. Bivariate analysis was carried out using Kruskal-Wallis analysis. The results showed a difference between work shifts and work fatigue, where 12 hours-12 hours work shift have severe fatigue rates than others. The work shifts regulate the working hours of nurse anesthetists to work optimally. It is essential to adjust the work shift so that they can have enough time to rest. An irregular division of work hours and the work hours longer than the rest duration are significant factors causing chronic fatigue in nurse anesthetists.  
Pengaruh emotional freedom technique terhadap kualitas tidur pasien hipertensi di wilayah kerja upt puskesmas kuta utara tahun 2021 : Effect of emotional freedom technique on sleep quality of hypertensive patients in upt puskesmas north kuta working area in 2021 I Wayan Candra; Utami, Gusti Ayu Septian Maya Dwi; Sumirta, I Nengah; Sulisnadewi, N.L.K
Bali Medika Jurnal Vol 8 No 4 (2021): Bali Medika Jurnal Vol 8 No 4 Desember 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i4.234

Abstract

Hypertension is a non-communicable disease that continues to receive attention in an effort to improve public health status. Some people are not aware of having hypertension and often do not show symptoms, only realizing it after causing organ disorders. The condition of hypertension that is not managed according to standards can have various adverse effects on the quality of a person's life. One of them can be caused is disturbing the quality of a person's sleep.The purpose of this study is to determine the influence of Emotional Freedom Technique on the sleep quality of hypertensive patients. Design research using  one-group pre-post test design. Sampling techniques used  nonprobability sampling  is  purposive sampling. The number of samples as many as 19 people. The research instrument used is the Pittsburgh Sleep Quality Index  (PSQI). The results showed the quality of sleep of hypertensive patients before being given emotional freedom technique,  namely all research subjects as many as 19 people (100%) poor sleep quality. After being given  Emotional Freedom Technique  showed the quality of sleep hypertension patients to be good as many as 6 people (31.6%). There is an effect of Emotional Freedom Technique on the Sleep Quality of hypertensive patients (p=0.000). Emotional Freedom Technique  improves the sleep quality of hypertensive patients.
Disparity in Weekly Number of Co Disparitas jumlah kasus mingguan covid-19 di kabupaten magelang: studi ekologi dengan analisis spasial temporal: Disparity in weekly number of covid-19 cases in magelang regency: ecological study with temporal spatial analysis Purwoko, Sidiq; Supinganto, Agus; Kusrini, Ina; Musoddaq, Muhamad Arif
Bali Medika Jurnal Vol 8 No 4 (2021): Bali Medika Jurnal Vol 8 No 4 Desember 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i4.243

Abstract

Magelang Regency is one of the regencies in Central Java whose territory is traversed by the main route between two provinces, namely Central Java Province and DI Yogyakarta Province. This strategic position resulted in high population mobility in the Magelang Regency area, making Magelang Regency the district with the second-highest number of positive Covid-19 cases in 2020 in Central Java Province with 4418 cases after Semarang City. The purpose of this study was to find out a spatial and temporal description of the weekly incidence of new Covid-19 cases at the peak of the 2020 pandemic, namely December. The type of research is quantitative descriptive research with ecological studies using spatial and temporal approaches. The sample is all new cases of Covid-19 during the peak period of cases, namely December 2020. The results show that based on spatial-temporal analysis, it is seen that areas crossed by national transportation routes have a tendency to increase weekly Covid-19 cases in December 2020. dominated by rural areas are sub-districts with a low tendency to add Covid-19 cases.
Pengaruh aromaterapi peppermint dalam menurunkan mual muntah akibat kemoterapi pada pasien kanker: The effect peppermint aromatherapy to reduce nausea and vomiting related chemotherapy in cancer patient -, Ketut Lisnawati; Wati, Ni Made Nopita; Dewi, Ni Luh Putu Thrisna
Bali Medika Jurnal Vol 8 No 4 (2021): Bali Medika Jurnal Vol 8 No 4 Desember 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i4.244

Abstract

Cancer patients undergoing chemotherapy will have major problem of nausea, vomiting. Appropriate management of nausea and vomiting is needed to reduce nausea and vomiting. The aim of this study is to know the effects of peppermint aromatherapy in reducing nausea vomiting due to chemotherapy in cancer patients. The design of this study used quasi experiment with pre post test with control group design, sampling using concecutive sampling. Total of sample were 34 respondents (17 intervention group and 17 control group). Nausea and vomiting were measured using the Rhodes index Nausea, Vomitting and Retching instrument. Statistical test used nonparametric test of Mann Whitney. The result showed that there was a significant effectiveness of peppermint aromatherapy to reduction nausea and vomiting due to chemotherapy in cancer patients (p = 0,00 ; α = 0,05).
Faktor-faktor yang berhubungan dengan pengetahuan penata anestesi tentang resusitasi jantung paru (rjp) pada era pandemi covid-19: Factors associated with nurses anesthetists’ knowledge of cardiopulmonary resuscitation (cpr) in the covid-19 pandemy era Ni Made Dewi Wahyunadi; Devi, NLP Lusiana; Sudiana, I Ketut
Bali Medika Jurnal Vol 8 No 4 (2021): Bali Medika Jurnal Vol 8 No 4 Desember 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i4.245

Abstract

This study was conducted to assess the factors (age, gender, education, workplace, working experience and training) associated with the nurses anesthetists’ knowledge of Cardiac Pulmonary Resuscitation (CPR) in the COVID-19 pandemic era. This descriptive correlation study used a cross-sectional approach involved 109 nurses anesthetist as a sample. This study employed total sampling technique. The questionnaire used was adapted from the American Heart Association (2020). Based on the Chi square test, There was a significant relationship between  age (p value = 0,044) and working experience (year) (p value = 0.024) with the nurses anesthetists’ knowledge of CPR in the COVID-19 pandemic era. Otherwise There was no significant relationship between gender (p value = 0,613), education (p value = 0,350), workplace (p value = 0,408), and training (p value = 0,632) with the nurses anesthetists’ knowledge of CPR in the COVID-19 pandemic era. The factors that significantly related to the nurses anesthetists’ knowledge of CPR in the COVID-19 pandemic era are age and working experience. The factors which unrelated are gender, education, income, workplace, and training.
Peningkatan domain kognitif, afektif dan psikomotor dalam program pembelajaran di luar kampus pada mahasiswa fakultas ilmu kesehatan universitas muhammadiyah lamongan: Improvement of cognitive, affective and psychomotor domains in off-campus learning programs for students of the faculty of health sciences, universitas muhammadiyah lamongan Faridah, Virgianti Nur; Aris, Arifal; Sholikhah, Siti; Nurafifah, Dian; Prastiwi, Riana
Bali Medika Jurnal Vol 8 No 4 (2021): Bali Medika Jurnal Vol 8 No 4 Desember 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i4.246

Abstract

Background : Universities in the health sector have basically implemented independent learning, especially off-campus learning long before the “Kampus Merdeka” policy was launched, but it is still limited to one program of activities, namely internships/work practices. This is a challenge for the health study program to be able to design and implement an innovative off-campus learning process in eight activities while still paying attention to learning outcomes covering the domains of attitudes, knowledge, and skills optimally. This study aims to see learning outcomes covering cognitive, affective and psychomotor domains during off-campus learning activities carried out by study programs at the Faculty of Health Sciences, University Muhammadiyah Lamongan. Method : This study uses a survey method by distributing questionnaires to all FIKES UMLA students. as many as 960 students (total sampling) consisting of 683 undergraduate students in Nursing, 95 undergraduate students in Hospital Administration and 182 undergraduate students in Pharmacy. This survey research uses quantitative data analysis techniques with a descriptive approach. Results : The results obtained from the cognitive domain of 96.15% stated that there was an increase when learning was carried out outside the campus, the affective domain was 96.15% and the psychomotor domain was 95.83%. Conclusion : Off-campus learning programs are able to improve learning outcomes covering cognitive, affective and psychomotor domains.
Hubungan pengetahuan perawat dengan penerapan triase sesuai protokol kesehatan covid-19 di instalasi gawat darurat di brsud kabupaten tabanan: Relationship between nurse knowledge and implementation of triage according to covid-19 health protocol in emergency installation at brsud, tabanan Sari, Ni Putu Intan Puspa; Yundari, AA Istri Dalem Hana; Azis, Abdul
Bali Medika Jurnal Vol 8 No 4 (2021): Bali Medika Jurnal Vol 8 No 4 Desember 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i4.255

Abstract

Introduction: Knowledge is very important factor in the accurancy of triage implementation in accordance with the COVID-19 health protocol during this pandemic, if the knowledge of nurse is very good, then triage handling in hospitals, especially in the emergency unit, will be maximized. The purpose of this study was to determine the relationship between nurses knowledge relate to triage and application of triage according to the COVID-19 health protocol in the emergency unit. Method: This study uses a descriptive correlational method with a cross-sectional approach. This study with a sample of 37 respondents, the sample was taken using a non-probability sampling technique with purposive sampling. This study uses a reseach instrument, namely aguestionnaire sheet for the knowledge variable and an observation sheet for the application variable, for the knowledge questionnaire a validity test has been carried out at Wangaya Hospital Denpasar on 29 April-7 May 2021, with the results of the validity test of 0,366-0,705 and the results of the realiability test by using alpha cronbach of 0,921. Result: The results of this study indicate that 25 people (67,6%) respondents who have a good level of knowledge and good application of triage, and there are 12 people (32,4%) respondents with a enough level of knowledge and enough application. Based on the spearman rank test, it was obtained with a value that p value = 0.000 <α=0,05, which means that the hypothesis in this study is accepted where statistically the is a relationship between the level of knowledge and the application of triage according to the COVID-19 health protocol. The correlation value on the variable level of knowledge with the application of triage of 0.605 means that it shows the level of a strong relationship between the level of knowedge and the application of the COVID-19 health protocol triage in the IGD BRSUD Tabanan, with the derection of a positive correlation relationship which means that the better the level of knowledge of nurse regarding triage, the better. Also the level of triage compliance in accordance with the COVID-19 protocol. Discussion: The applicaton triage is very important in the proses determining the level of emergency patients, in this case the level of knowlwdge of nurses greatly affects the process of applying triage so as to increase the knowledge of nurses in carrying out triage actions appropriately so that it can be applied properly.
Pengaruh pemberian variasi konsentrasi biotin terhadap kadar kolesterol total dan kolesterol ldl pada tikus dengan resiko dislipidemia: The effect of giving variant biotin concentration on total cholesterol and ldl cholesterol levels in rat with dyslipidemia Cahyani, Anak Agung Ayu Eka; Santosa, Budi; Mukaromah, Ana Hidayati
Bali Medika Jurnal Vol 9 No 1 (2022): Bali Medika Jurnal Vol 9 No 1 Juli 2022
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v9i1.152

Abstract

Dislipidemia dapat menyebabkan aterosklerosis sehingga risiko penyakit jantung koroner, penyakit kardiovaskular atau Cardiovascular Disease (CVD) dan stroke meningkat. Kolesterol LDL diketahui terlibat dalam tahapan perkembangan lesi awal aterosklerosis. Pemberian suplemen seperti penambahan biotin perlu diberikan untuk menjaga kadar lipid dalam darah. Biotin disebut juga vitamin B7 atau vitamin H yaitu vitamin larut dalam air, bertindak sebagai kelompok prostetik karboksilase dalam beberapa jalur metabolisme. Biotin dinyatakan vitamin yang aman, asupan dengan kadar 300 kali lipat dari normal terbukti tidak beracun. Penelitian ini dilakukan untuk melihat pengaruh pemberian variasi konsentrasi biotin terhadap kadar kolesterol total dan kolesterol LDL pada tikus wistar dengan resiko dislipidemia. Tikus wistar jantan usia 8 minggu dengan berat awal 150-200 gram diadaptasi selama 7 hari, diberi pakan standar dan air minum ad libitum. Sampel setelah adaptasi, dibagi menjadi 5 kelompok. Kelompok kontrol  negatif diberikan  pakan  standar, kelompok  kontrol  positif diberikan pakan dengan diet tinggi  lemak. Kelompok perlakuan 1, 2 dan 3 diberi pakan diet tinggi lemak dan dosis biotin berturut-turut 1,232 mg/kg; 68,39 mg/kg dan 97,72 mg/kg selama 6 minggu. Hasil penelitian menunjukkan bahwa ada perbedaan yang signifikan pada hasil pemeriksaan kolesterol total dan kolesterol LDL dengan uji One Way ANOVA (p ≤ 0,05). Simpulan ada pengaruh pemberian variasi konsentrasi biotin terhadap kadar kolesterol total dan kolesterol LDL pada tikus wistar dengan resiko dislipidemia.

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